# Nevada AB186: AN ACT relating to pharmacy; authorizing a registered pharmacist to prescribe drugs and devices to treat certain health conditions and dispense a refill without the authorization of a practitioner, other than a pharmacist, under certain circumstances; authorizing a registered pharmacist to administer drugs; authorizing a registered pharmacist to engage in certain activity relating to laboratories and laboratory testing; and providing other matters properly relating thereto. Nevada AB186, AN ACT relating to pharmacy; authorizing a registered pharmacist to prescribe drugs and devices to treat certain health conditions and dispense a refill without the authorization of a practitioner, other than a pharmacist, under certain circumstances; authorizing a registered pharmacist to administer drugs; authorizing a registered pharmacist to engage in certain activity relating to laboratories and laboratory testing; and providing other matters properly relating thereto., is a 83rd Regular Session (2025) House bill sponsored by David Orentlicher (Democratic); status failed, last action 2025-06-03 ((No further action taken.)); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-AB186-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada AB186 - State: Nevada - Session: 83rd Regular Session (2025) - Title: AN ACT relating to pharmacy; authorizing a registered pharmacist to prescribe drugs and devices to treat certain health conditions and dispense a refill without the authorization of a practitioner, other than a pharmacist, under certain circumstances; authorizing a registered pharmacist to administer drugs; authorizing a registered pharmacist to engage in certain activity relating to laboratories and laboratory testing; and providing other matters properly relating thereto. - Status: failed - Chamber: House - Introduced: 2025-02-03 - Last action: 2025-06-03, (No further action taken.) - Sponsor: David Orentlicher (Democratic) - Cosponsors: 0 - Subjects: BDR 54-344 - Touches household money: yes - Economic provisions PRIA read: 5 ## Summary No summary available. ## Bill overview: provisions PRIA read - Local government plans cover pharmacist prevention: benefit, medium. Local-government self-insurance plans must cover listed HIV-prevention drugs, related lab tests, and specified services from in-network pharmacists. This applies to plans delivered, issued for delivery, or renewed on or after January 1, 2024. Plans must pay participating pharmacists the rate paid t… - More HIV and hepatitis Medicaid care: benefit, medium. Beginning January 1, 2026, Nevada Medicaid must cover qualifying primary-care services to test for, prevent, or treat HIV or hepatitis C. Services qualify when Medicaid covers them from a specialist. Providers must work within their licensed scope or provide care safely and effectively with special… - More HIV prevention care from pharmacists: benefit, medium. Beginning January 1, 2026, qualified Nevada pharmacists can perform lab tests needed for FDA-approved medicines that prevent HIV. They can also prescribe, dispense, and administer those medicines to the extent federal law allows. Pharmacists must meet Nevada pharmacy board requirements and follow i… - More medicines and refills from pharmacists: benefit, medium. Beginning January 1, 2026, Nevada pharmacists can prescribe FDA-approved medicines and devices for previously diagnosed conditions or conditions that resolve themselves. They can also treat acute conditions diagnosed through simple lab tests classified as waived under federal rules. Pharmacists can… - Pharmacists gain broader lab testing roles: benefit, low. Beginning January 1, 2026, Nevada pharmacists can order tests needed for FDA-approved drug therapy or other care within their licensed scope. They can perform simple tests classified as waived under federal rules. Blood sugar testing with FDA-approved home devices must follow Association of Diabete… ## Sponsors and cosponsors - Sponsor: David Orentlicher (Democratic), House ## Actions (15) - 2025-06-03: (No further action taken.) (House) - 2025-04-23: To committee. (House) - 2025-04-23: From printer. To engrossment. Engrossed. First reprint. (House) - 2025-04-21: To printer. (House) - 2025-04-21: Rereferred to Committee on Ways and Means. Exemption effective. (House) - 2025-04-21: Taken from General File. (House) - 2025-04-21: Read second time. Amended. (Amend. No. 445.) (House) - 2025-04-21: Placed on Second Reading File. (House) - 2025-04-21: From committee: Amend, and do pass as amended. (House) - 2025-03-04: Notice of eligibility for exemption. (House) - 2025-02-05: From printer. To committee. (House) - 2025-02-04: To printer. (House) - 2025-02-04: Read first time. (House) - 2025-02-03: Referred to Committee on Commerce and Labor. (House) - 2025-02-03: Prefiled. (House) ## Bill text - As Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB186.pdf) - Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB186_R1.pdf) ## Related bills - AB188: AN ACT relating to the Public Employees' Benefits Program; requiring the Board of the Public Employees' Benefits Program to report certain information relating… (vetoed) - SB217: AN ACT relating to health care; prohibiting a governmental entity from substantially burdening certain activity relating to assisted reproduction under certain… (vetoed) - AB499: AN ACT relating to elections; requiring, with certain exceptions, a registered voter show photo identification to vote in person; requiring the Department of M… (vetoed) - AB397: AN ACT relating to higher education; revising provisions governing certain waivers of fees provided by the Board of Regents of the University of Nevada; revisi… (vetoed) - AB259: AN ACT relating to health care; prohibiting certain actions related to pricing and reimbursement for certain drugs; creating a cause of action for violating su… (vetoed) - AB169: AN ACT relating to insurance; establishing the applicability of provisions requiring policies of health insurance to include certain coverage; requiring that c… (signed) ## Sources - [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB186.pdf) - [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB186_R1.pdf) ## Related - [AB188: AN ACT relating to the Public Employees' Benefits Program; requiring the Board…](https://policyrisk.com/state-bill/NV-AB188-83rd2025) - [SB217: AN ACT relating to health care; prohibiting a governmental entity from substant…](https://policyrisk.com/state-bill/NV-SB217-83rd2025) - [AB499: AN ACT relating to elections; requiring, with certain exceptions, a registered…](https://policyrisk.com/state-bill/NV-AB499-83rd2025) - [AB397: AN ACT relating to higher education; revising provisions governing certain waiv…](https://policyrisk.com/state-bill/NV-AB397-83rd2025) - [AB259: AN ACT relating to health care; prohibiting certain actions related to pricing…](https://policyrisk.com/state-bill/NV-AB259-83rd2025) - [AB169: AN ACT relating to insurance; establishing the applicability of provisions requ…](https://policyrisk.com/state-bill/NV-AB169-83rd2025) - [Nevada bills](https://policyrisk.com/states/nevada/bills) - [Nevada state hub](https://policyrisk.com/states/nevada) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/NV-AB186-83rd2025 (as of 2026-11-01).